| NPI | 1629104799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 2340) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2001007193) |
| 235Z00000X Speech-Language Pathologist, (Licence: MO 12002823) | |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2007-07-08 |